Individual
DR. JONATHAN ART LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., R.PH., CCP
Contact information
Practice address
199 MAIN ST, KEANSBURG, NJ 07734-1734
(732) 787-1414
Mailing address
199 MAIN ST, PO BOX 130, KEANSBURG, NJ 07734-1734
(732) 787-1414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03318400
NJ
Other
Enumeration date
11/21/2009
Last updated
11/21/2009
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